| NPI | 1528692423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 5643) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM OT-2025-0159) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2025-09-18 |